National Provider Identifier Database

ANGELA M FONSECA, LADCI CAS – NPI #1750668539
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

ANGELA M FONSECA, LADCI CAS
62 WALDECK ST
DORCHESTER CENTER, MA02124-1329
Phone: 617-265-2636
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for ANGELA M FONSECA

NPI Number 1750668539
Credentials LADCI CAS
Entity Individual
Enumeration date 11/08/2011
Last updated 11/08/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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